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GENERAL HOSPITAL
V. Luna Avenue, Quezon City
Interns Quota Sheet Interns Name: Section: MARC DELVIN C. QUERO URINALYSIS School: UST
Patient Name: Gender: Date: Physical Color: Transparency: Chemical Protein: Sugar: Specific Gravity: pH: Microscopic RBC: WBC: Cast: Epithelial Cell: MucusThreads: A. Urates: A. Phosphates: Bacteria: Crystals: Others:
Patient Name: Gender: Date: Physical Color: Transparency: Chemical Protein: Sugar: Specific Gravity: pH: Microscopic RBC: WBC: Cast: Epithelial Cell: MucusThreads: A. Urates: A. Phosphates: Bacteria: Crystals: Others:
Verified by:
Verified by:
ARMED FORCES OF THE PHILIPPINES MEDICAL CENTER DEPARTMENT OF PATHOLOGY AND LABORATORY PROFESSIONAL SERVICE DIVISION VICTORIANO LUNA GENERAL HOSPITAL
V. Luna Avenue, Quezon City
Interns Quota Sheet Interns Name: Section: MARC DELVIN C. QUERO URINALYSIS Patient Name: Gender: Date: Physical Color: Transparency: Chemical Protein: Sugar: Specific Gravity: pH: Microscopic RBC: WBC: Cast: Epithelial Cell: MucusThreads: A. Urates: A. Phosphates: Bacteria: Crystals: Others: Patient Name: Gender: Date: Physical Color: Transparency: Chemical Protein: Sugar: Specific Gravity: pH: Microscopic RBC: WBC: Cast: Epithelial Cell: MucusThreads: A. Urates: A. Phosphates: Bacteria: Crystals: Others: School: UST
Verified by:
Verified by:
ARMED FORCES OF THE PHILIPPINES MEDICAL CENTER DEPARTMENT OF PATHOLOGY AND LABORATORY PROFESSIONAL SERVICE DIVISION VICTORIANO LUNA GENERAL HOSPITAL
V. Luna Avenue, Quezon City
Interns Quota Sheet Interns Name: Section: MARC DELVIN C. QUERO URINALYSIS Patient Name: Gender: Date: Physical Color: Transparency: Chemical Protein: Sugar: Specific Gravity: pH: Microscopic RBC: WBC: Cast: Epithelial Cell: MucusThreads: A. Urates: A. Phosphates: Bacteria: Crystals: Others: School: UST
Verified by: